KENNETH J EVANS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014040

License Status

INACTIVE

Business

First Name

KENNETH J

Last Name

EVANS

Suffix

DDS

Business Name

KENNETH J EVANS DDS

Original Issue Date

07/08/1971

Effective Date

08/18/2009

Expiration Date

09/30/2012

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

06/06/2012

Case Number

1986000917

Action

Probation

Discipline Start Date

09/29/1986

Discipline End Date

09/29/1988